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Pheng Thao
Counselor in Fresno, California
NPI 1366682023

Pheng Thao is a Counselor based in Sanger, CA. Pheng Thao practices in Fresno, CA. The NPI Number for Pheng Thao is 1366682023 and holds a License No. D7036245 (California).

The current practice location address for Pheng Thao is 2772 Martin Luther King Blvd., Fresno, CA and can be reached out via phone at 559-265-4800 and via fax at 559-265-4823.

Location: 2772 Martin Luther King Blvd., Fresno, CA, 93657-9719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366682023
Provider Name
Pheng Thao
Credential
Provider Entity Type
Individual
Gender
Male
Address
2772 Martin Luther King Blvd., Fresno, CA, 93657-9719
Phone Number
559-265-4800
Fax Number
559-265-4823
Provider Enumeration Date
02/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2772 Martin Luther King Blvd.
City
Fresno
State
California
Zip
93706
Phone Number
559-265-4800
Fax Number
559-265-4823
person
Provider Business Mailing Address Details
Address
2772 Martin Luther King Blvd.
City
Fresno
State
California
Zip
93706
Phone Number
559-265-4800
Fax Number
559-265-4823
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
D7036245 (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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